3865 Tampa Road LLC
NPI #1487678132 in Oldsmar, Florida
Provider Information
- NPI Number
- 1487678132
- Entity Type
- Organization
- Organization Name
- 3865 Tampa Road LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SUNBRIDGE HEALTHCARE LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 26, 2006
- Last Updated
- Mar 23, 2018
Practice Location
Authorized Official
- Name
- MICHAEL THEODORE BERG
- Title
- VP AND ASST SECRETARY
- Phone
- (505) 468-4742
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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